Publications by authors named "R Kipp"
Pacemaker-mediated reentrant arrhythmia facilitated by an atrial-tracking leadless pacemaker.
J Cardiovasc Electrophysiol
September 2024
Article Synopsis
- Pacemaker-mediated tachycardia (PMRA) can occur in patients with dual chamber pacemakers and is particularly noted in those with intact ventriculoatrial conduction.
- A 91-year-old female with new cardiomyopathy received an AV synchronous leadless pacemaker, which led to frequent atrial and ventricular pacing issues, identified as PMRA due to changes in heart rates.
- The study highlights that PMRA may be overlooked in patients with leadless pacemakers, emphasizing the need for further research on its management and impact.
Background: Atrial fibrillation (AF) is associated with considerable morbidity and mortality. Timely management and treatment are critical in alleviating AF disease burden. There is significant heterogeneity in patterns of AF care.
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- Cerebral thromboembolism is a rare complication (0.17%) during atrial fibrillation (AF) ablation, largely due to strict management of anticoagulation; inadequate anticoagulation can lead to serious issues like silent cerebral ischemia.
- The study aimed to assess the effectiveness of a computerized clinical decision support system (CDSS) for precise heparin dosing during AF ablation, comparing outcomes before and after implementing the system.
- The results showed that using the CDSS allowed for faster attainment of target activated clotting time (ACT) and improved stability in maintaining therapeutic levels, alongside positive feedback on the system's usability from the medical staff.
Background Ventricular tachycardia (VT) ablation significantly improves our ability to control VT, yet little is known about whether disparities exist in delivery of this technology. Methods and Results Using a national 100% Medicare inpatient data set of beneficiaries admitted with VT from January 1, 2014, through November 30, 2014, multivariable logistic regression techniques were used to examine the sociodemographic and clinical characteristics associated with receiving ablation. Census block group-level neighborhood socioeconomic disadvantage was measured for each patient by the Area Deprivation Index, a composite measure of socioeconomic disadvantage consisting of education, income, housing, and employment factors.
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